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Home My WebLink About10198195 - Permit (2)tr City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Building g-t Permit #: {O{98{95 Pin #: 3o.292 Proiect Address: 2145 112 W Civic Center Dra Assessor's Parcel: 004-1 53-12 Lot: NA Block: NA Unit:Bldg: Address Range:Suite Range: Zoning: R1Tract: NA Historic: No Building Use Acc68ory Owelling Unit-D.t choc Occupancf R3 1st FL Area: 1199 Patio: 44 Job Type: Now Conslr Type: V B 2nd FL Area: T.l.Area: Nature ofwork AoU code: cBc 2016 oher Arees: yards Reqd: Existing Bldg. & use: SFD wrdet garage & barn Flood zone: x{602320'144J carage Area: vatuation: g,t2o,ooo.oo Proposed Us€: ADu wrdet Std & det G.r.go # of Stories: , aor",, fi99 D6criptlon of Work t{ow det tched ADU with (3) bodrooms, (2) bathroom., (1r2) bathroom, l.undry, gr9.t rcom, kltchen. & ,a4 af porch. SAUSD *381?. Planning Conditions: All materials to match existing. Owner: Ngoc Hong Tran Address: 9051 Belcaro Drive Huntington Beach, CA 92646 Phone V85) 550-0181 Tenant: Contractor: HD Engineering Constructio Address: 1402 N Parson Place Santa Ana, CA 92704 Phone. (7141495-0056 State Lic #: 934742 Lic Type: B Bus. Lic #: 350983 Workers' Compensation I nsurance. Carrier: State Fund Policy #: 9107432 Expires: 0710112019 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: HD Engineering Construction Hoang Dan Pham 1402 N Parsons Pl Santa Ana, CA 92703 (71414s5-00s6 c 79089 Duc Van Tran Designer Duc Van Tran 16436 Vernon Street Fountain Valley, CA 92708 (7141 713-3597 Designer Planning Approval By: Plan Checked By: Permit lssued NPDES lnsp. PWA lnsp. Req'd Arabe, Jill Date: 1011912018 Misc. Receipt: 71732 CsE-Century Structural Engine0ate: 0212512019 Misc. Receipt. Amsden, Julie Date: O4t3Ot2O1g Misc. Receipt: Subject to Field: Total 07776002 07776002 0 77760 0 2 37773002 08907007 07776002 07776002 07776002 57607 s3600 57770 5330 0 240 00 57672 57600 57607 Permit Fee Plan Check Fee Microfilm Records Res. Dev. Fee - NA// SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance/New Structu Fee Total: Paid to Date: Balance Due: $8e3.38 $1,369.92 $33 84 $5,955.24 $1s 60 $5.00 $22 08 $146 80 $8,441 86 $1,369.92 $7,071.94 Planning lnsp. Req'd: Landscaping lnsp. Req'd Account# Flood Zone Cert. Req'd: No 01 1 16002 51600 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterits issuance,or if the work authorized on the site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. No No Yes No Fire lnsp. Req'd. Police lnsp. Req'd No Yes 01 1 16002 51601 01116002 51612 01116002 57770 08901001 24000 31113002 53300 $22.08 $1 ,040.1 I $5 00 $33.84 $15 60 $5,955.24 lnspector MID#: 201 8-146937 I SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DEI,CARA'I'ION I herehy affirm untler penatty of Jrcrjury that I am exempt fnrm the Contractors' License Law for the following reason (.Sec.70.l1.5 Business and Profession Cule): Any City or County which requires a Jrrmit to construcl. alter, improve, derntlish or repair any structure. prkrr to its issuance. also requires the applicant for such permit to llle a signed staternent that he or she is licensetl pursuanl Io the pnrvisions of the Contractor's Licensed Law (Chapter 9. Commencing with .Section 7(XD of Division 3 of the Business and Pr6fessi6nsCode)orthatheorsheisexempttherefromandthehasisfrrrtheallegedexernption. AnyviolationofSectionT0.ll.5hyany applicant for a permit subjects the applicant to a civil penalty of not rxtre than five hundred dollars ($5U)). _t. as owner of the pn)frerty. or my empkryees with wages as their sole ctlmpensati()n, will do tlr wrlrk and the struclure is not inrendetl 6rgfferetlforsale(Sec.TO44.BusinessandProfessionsCode: 'fheCirntractor'sl-icenseLawdoesnotapplytoanownerof the pr()perty whl buikls or impmves thereon. and whr does such work himself or herself rtr through his or her own empkryees. prrlvitletl that such impr<lvernents are not intentletl ur offered for sale. lf. however. the truiltling or improvenrcnt is srlld within one ytar of completit)n, rhe Owner BuiUer witlhave the burden of proving that he or she ditl not huiklor improve the pnlperty forthe purprseof sale). _t. asowner rrf the property, amexctusively contracting with licensetl contract()rst() c()nstruct the pnr.iect (Sec. 7()44. Business arul Pnrfessirn Code: The Contractor's l-icense Law does not apply to an owner of proJrerty who builds tlr imprtrves thereon, and whrr contracts for such pnrjects with a Contracto(s) licensetl pursuant to the Contractor's License Law). -l amexempt under .Section-, B. & P.C. for this reason. l):rlt. ( )rr lrt.r *ar**r*t' coMPUNSA't'l0N DECLARA'I'ION I herehy affirrn under penalty of per.iury one of the frrllowing declaralions: _l have and will maintain a Certifrcate of Consent to .Self- Insure for workers' comlrcnsation, as provided for by Section -17(X) of the l-ahrr Cule. firr the grcrformance of the work firr which the permit is issued. _l have and wilt maintain workers'compensation insurance. as required hy Section 37(X) of the Labor Code. for the yrrftrrmance of the work for which this permit is issued. My workers' comp€nsation insurance carrier arxl Jxrlicy number are: 4M1/q _l certify that in the performance of the wrrrk frrr which this permit is issuetl, I shall not s() asto beconre suhject trr the workers'compensltion laws of California, and agree that if I /''2\\ I I ernpkry any person id any m#tner should hecome subject to the workers' compensation provisions of .Section .17(X) of the l:rtnr Code. I shall. ftrrthwith comply with those provisions. WARNTN(): Failure to secure workers' compensation coverage civil fines up to one hundred thrtusand tkrllars ($l(X).(XX)), in IS shall suh.iect an employer to criminal penalties and atltl it ion of compensation. damages ns provided for the lo76 Lahrr interest antl attorney's fees. I I herehy affirm under penalty of per.iury that I am licensetl under 9 (comntncing with Section 7firu) of Divisirtn 3 of the Business and Professions C}rde. aml my license is in full firrce antl effect. q\v1 u9 I hercby affirm under Srenalty of prjury that there is a construction issued (Sec. 3O97, Civ. C.). aSency perfirrntance of the work for *'hich this permit is l.entler's Atldress: A I'I'LICAN'I DECLAR A'T'I ON I hereby affirm untler penalty of perjury one of the ftrllowing declarations: Demolition Permits-Asbestos Notification F:etleral Regulations (Title 40, Part6) -Required Letter of Notification _l certify that the federalregulations regarding ashestos removalare not applicahle trl this project. -l certify that I have read this application antl state that atnve information is correct. I agree to comply with all City and County onlinances and State Laws relating to building herehy auth)riz.e representatives of this City and County ttr enter ufx)n lhe :rhrve nrntioned property for ul shApplicant or Agent I)ale: T T a 114 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVI nsu lation - l -Jl.t2- Roof Sheathinq \Y-lb7 Shear Wall { Framinq I l<cz lnsu latio nlEnerqv )-2a. ;9 (?cz Drvwall Ext./lnt. Lath lt\- Brown Coat \dl Masonry a Pool Fence T-Bar Handicap Req Deputy Final Report Enoineer Final Reoort Flood Zone Certif I I A-t lrt FINAL h 7 a)Prh0/l er -H67 Certificate of Occu Notes, Remarks, Etc. F ,/ ol BUILDING- INSPECTOR RECORD T f:{ev. 0B-07-201 5 a / ) -/ Y \ermitee name f printl, 1t0 Prl ls/